Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DERMATOLOGIA BORINQUEN LLC

NPI: 1326745571 · CAGUAS, PR 00725 · Dermatology Physician · NPI assigned 02/08/2023

$39K
Total Medicaid Paid
491
Total Claims
215
Beneficiaries
4
Codes Billed
2024-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCRUZ RODRIGUEZ, JESUS (ADMINISTRATOR)
NPI Enumeration Date02/08/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 491 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 278 148 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 121 35 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 75 15 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 17 $2K